MARY CONNOLLY

ENGLISH DERMATOLOGY PC

Dr MARY CONNOLLY is a female medical professional, specializing in Nurse Practitioner. She graduated in 1994.

Contact

ENGLISH DERMATOLOGY PC

15215 S 48TH ST
SUITE 120
PHOENIX
AZ
850449137

Tel: 4807066580

MARY CONNOLLY Information

Npi 1912113911
Pac Id 0345328399
Professional Enrollment Id I20080416000557
Last Name CONNOLLY
First Name MARY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1994
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ENGLISH DERMATOLOGY PC
Group Practice Pac Id 4385867761
Number Of Group Practice Members 22
Line 1 Street Address 15215 S 48TH ST
Line 2 Street Address SUITE 120
Marker Of Address Line 2 Suppression
City PHOENIX
State AZ
Zip Code 850449137
Phone Number 4807066580
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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